Term
|
Definition
| ulcer that follows sever illness and trauma? |
|
|
Term
Hemorrhage-most common
Perforation-not common
Pylric obstruction-from repeated cycles of damage/healing. |
|
Definition
| Major complications of Peptic ucler disease? |
|
|
Term
|
Definition
| caused by lack of digestive enzymes during fetal development often from CF. |
|
|
Term
|
Definition
| obstruction caused by the telescoping of one part of the colon an another part |
|
|
Term
|
Definition
| most frequent cause of acquired obstruction of the intestines in infants? |
|
|
Term
|
Definition
| twisting of the intestines on its mesenteric pedicle |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
Transmural |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
Isolated to mucosa, submucosa |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
80% small intestine involved |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
skip lesion |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
continuous lesions in rectum and sigmoid colon |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
non bloody diarrhea |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
bloody diarrhea |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
Crohn or Ulcerative Colitis?
malignant potential is low |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
pain located on right side |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
pain located on left side |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
which is more common? |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
rectal involvement 95% |
|
|
Term
|
Definition
Crohn or Ulcerative Colitis?
avoid surgery |
|
|
Term
|
Definition
| term for fat in feces from malabsorbtion |
|
|
Term
| A protein found in wheat, rye, oats and barley |
|
Definition
|
|
Term
| when gluten becomes toxic to the intestinal epithelial cells of certain individuals |
|
Definition
| what is gluten sensitive enteropathy? |
|
|
Term
non tropical sprue
celiac disease |
|
Definition
| other names for gluten sensitive enteropathy? |
|
|
Term
change/loss in villi
inflammation and edema
loss of brush border enzymes
malabsorbtion due to above |
|
Definition
| Patho of gluten enteropathy? |
|
|
Term
diarrhea
FAILURE TO GROW
pale bulky stools
irritability
anorexia
ADULTS
steatorrhea
lassitude(fatigue) |
|
Definition
| clinical manifestations of gluten sensitive enteropathy? |
|
|
Term
|
Definition
| congenital loss of normal opening of esophagus |
|
|
Term
|
Definition
| New GI hormone that suppresses appetite |
|
|
Term
Phagocytic cells that line the sinusoids of the liver.
Part of the immune system
Detox, lysis of old RBCs |
|
Definition
| Role of the Kupffer cell? |
|
|
Term
Provides 25-30% of total blood to liver
Oxygenated |
|
Definition
|
|
Term
Provides 75% of total blood to liver.
Transports nutrients and toxins |
|
Definition
|
|
Term
|
Definition
| unconjugated bilirubin is ____ soluble? |
|
|
Term
|
Definition
| conjugated bilirubin is ___ soluble? |
|
|
Term
Uptake, Conjugation, excretion
Old RBC is destryed and unconjugated bilirubin is a byproduct.
Liver picks up the unconjugated bilirubin
liver conjugates it-makes it water soluble
Liver excretes this into the ileum and colon
Bacteria in the intestines convert the conjugated bilirubin to UROBILINOGEN
excreted in stool(small) and urine |
|
Definition
| explain bilirubin metabolism. |
|
|
Term
|
Definition
| Liver glycogenisis occurs when? |
|
|
Term
between meals
overnight
times of stress
work to stabilize glucose levels |
|
Definition
| liver glycogenolysis and gluconeogenesis occur when? |
|
|
Term
Vagal stimulation
Cholecystokinin |
|
Definition
| what stimulates the release of bile within the gallbladder? |
|
|
Term
|
Definition
| parasympathetic affect on pancreas? |
|
|
Term
| High bicarb concentration to neutralize acid contents of the duodenum |
|
Definition
| Role of the fluid/electrolyte secretions of the pancreas? |
|
|
Term
secretin-stimulates ducts to release the alkaline fluid/electrolyte solution
into the duodenum
Cholecystokinin-stimulates the release of enzymes |
|
Definition
| Role of secretin and cholecystokinin in relation to the pancreas? |
|
|
Term
| prevents the digestion of pancrease itself. |
|
Definition
| purpose of trypsin inhibitor? |
|
|
Term
| distended torturous collateral vessels in lower esophagus or rectum due to portal hypertension |
|
Definition
|
|
Term
Rectum and esophagus
painless |
|
Definition
common locations of varices?
Painful or painless? |
|
|
Term
enlarge spleen due to backup of blood
will cause anemia and thrombocytopenia due to trapping. |
|
Definition
| effect of portal hypertension on spleen? |
|
|
Term
| accumulation of fluid in the peritoneal cavity due to increased hydrostatic pressure r/t portal hypertension |
|
Definition
|
|
Term
wt gain- from edema
resp distress- pressure on diphragm
peritonitis-fever, pain, dec. bowell sounds, cloudy fluid. |
|
Definition
| clinical manifestations of ascites? |
|
|
Term
CNS disturbance r/t:
hypoxia
accumulation of ammonia |
|
Definition
| what is hepatic encephalopathy? |
|
|
Term
mental confusion
muscle tremors(asterixis)
impaired cerebral function
STAGES 1-4 |
|
Definition
| clinical manifestations of hepatic encephalopathy? |
|
|
Term
| another word for jaundice |
|
Definition
|
|
Term
|
Definition
| inflammation of the liver due to a virus is? |
|
|
Term
|
Definition
| hepatitis can obstruct the ___ and cause jaundice? |
|
|
Term
Preicteric
2 weeks after exposure
adversion to food odor, etoh and smoking
RUQ pain is common
wt loss |
|
Definition
| Prodromal phase of hepatitis |
|
|
Term
Begins with jaundice
enlarged liver
fatigue
ruq pain is worse
inc serum enzymes
inc PT
itching
lasts 4-6 wks |
|
Definition
| Icteric phase of hepatitis? |
|
|
Term
|
Definition
| recovery phase of hepatitis? |
|
|
Term
| breastmilk has a compound that increases the amount of unconjugated bilirubin in the gut |
|
Definition
| why do breastfed babies have higher incidence of jaundice? |
|
|
Term
serious complication of permature birth, neonatal jaundice, and hemolytic disease of the newborn.
immature blood-brain barrier allows unconjugated billirubin to enter the brain where it alters nerve function
can cause death, cerebral palsy, MR, and mental d/o |
|
Definition
|
|
Term
phototherapy
converts unconjugated bilirubin into water soluble forms that can be excreted by the kidneys |
|
Definition
|
|
Term
fatty infiltration of the liver with sever hepatic dysfunction
usually occurs after viral illness (flu or chickenpox) |
|
Definition
|
|
Term
|
Definition
| Pediatric consideration to watch for after a pt has the flu or chickepox? |
|
|
Term
| aspirin-causes reyes syndrome |
|
Definition
| what drug should be avoided with peds? |
|
|
Term
autosomal recessive d/o
causes excessive and ucontrolled iron absorption in the GI system and deposits it into the liver, causing cirrhosis |
|
Definition
|
|
Term
|
Definition
| what age group does hemochromatosis commonly occur? |
|
|
